Wednesday, March 13, 2019
Interaction Theories Essay
A. Comp are and contrast two of the models or theories beared in this chapter considering their usefulness in practice, research, education and administration. For the purposes of this discussion, I have selected tycoons Theory of refinement Attainment and Peplaus Theory of Interpersonal Relations. On a broad perspective, twain theories aim at explaining the interaction processes that come on between a admit and her persevering. Imogene poufs basic assertion of her scheme is that the nurse and the client communicate information, set destructions mutually, and act to coin those goals.The same bath actually be said with Peplaus theory wherein she states that nurse is an interpersonal process because it involves interaction between two or more individuals with a common goal, the attainment of which is achieved through the use of a series of steps, and that the nurse and affected role work together so both become mature and acquaintanceable in the process. A lot of simila rities slew be seen from both works as they try to explain the nursing process in a nurse-patient interaction level. see fig. 1) The concepts of person, health, environment and nursing are recurring themes on both theories as they attempt to fuse it with from each one of their own interaction models. The deviation between the two theories number where the focus of their study lie in the current nursing practice. King focused on the major concept of interacting systems Personal, interpersonal and social systems, and how the truth of determining which system is most applicable would lead to eventual transaction.Because of the luridness of her condition, the requirement style nurses attending for this particular patient immediately began pickings actions to stabilize her condition, such as securing an IV line, drawing blood for labs, applying group O and doing an ECG all at the same time. When asked by a nurse to take her ordered dose of aspirin the patient fearfully verbali zed, What are you doing to me? Soon after, when the patients condition did not significantly emend but got worse, the physician advised the husband that patient be brought to the cardiac catheterization laboratory for an angiogram. The client was adamant that she did not want to take forceful measures, but the husband indicated that he wanted whatever was necessary to improve his wifes condition. This is an excellent example of a client losing the genius of self-hood.In regard to the concept of self, King (1981) stated If nurses and other professionals interact with patients or clients as human beings, and let the individuals be themselves, nurses and patients would help each other grow in self-awareness and in understanding of human behavior, in particular in stressful life experiences. In an environment that requires one to be reactive and responsive, clients often perceive nurses as being too prompt or too hurried. King (1981) encouraged nurses to be aware of how they pre sent themselves to their clients because the manner in which nurses enter a clients board sets the tone for the entire encounter. Poor communication skills lead to poor legal proceeding and interactions between the nurse and the client.Poor communication skills similarly affect goal setting and goal attainment (Williams, 2001). It is solely because of this perception that proper scripting with the patients has been constantly reiterated to all nursing personnel and including even the support staff. In perfect(a) contrast with the example presented above, here is a situation where Kings Theory of Goal Attainment was used in the mite room setting. Patient ST, a 32-year old male trauma patient who went to the emergency room due to a traumatic amputation of an arm secondary to a motor vehicle accident. The assessment phase of the nursing process can take in the concepts associated with the personal system.Once the patient has been hemodynamically stabilized, the nurses attention is now focused on assisting the patient cope with the feelings of passing play, disengagement and anger that he is experiencing. The patients feelings of perception, self body image, harvest and development, time and space must be considered after doing the primary horizon of airway, breathing and circulation. In fact, this is even specified in my institutions Emergency Room Nursing Database in its attempts to fulfill the JCI requirements in documentation. Attempting to reinstate the patients self-esteem in the light of the traumatic loss is a mutually established goal between the nurse and the client. It is also important for the nurse to realize that the patients perceptual national is narrowed because of the pain and emotion that he is currently experiencing.Kings theory highlights the importance of the participation of the individuals in decision making and deals with the choices, alternatives, and outcomes of nursing care. The theory offers insight into the nurses interacti ons with the individuals and groups within the environment (Williams, 2001). Element of the theory of Imogene King is usually applied specifically in interpersonal and social systems. more than often than not, the mode of interaction being used in the emergency department is a dyad (2 people interacting), where the perception of a patient is changed because of a communication that takes place providing education to a patient with knowledge deficit.Such an example occurs in ensuring a patient and its significant others meekness if the patient does not understand the importance of a certain disturbance or medication, cooperation and fastening willing be very difficult to achieve. tho once the nurse educates them with proper nurse-patient interaction and therapeutic communication, compliance and adherence to medical regimen can be achieved. Kings Goal Attainment Theory (Client-Centered Theory) is indeed what we are practicing in the daily numeral of the hospital and in any other clinical setting. Giving the patient the pertinent information of what is going to happen or what is happening will lessen the patients anxiety that contributes to tachycardia, restlessness and give them a sense of control of the situation.
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